SUSAN SMITH BOULDIN LCSW
NPI 1942503529
Social Worker in Orlando, FL

Active since December 21, 2010PECOS EnrolledAccepts Medicare Assignment
1417 N SEMORAN BLVD STE 203, ORLANDO, FL 32807(407) 206-1106(407) 206-1112 Get Directions Write a Review

NPPES record last updated: September 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Smith Bouldin Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN SMITH BOULDIN LCSW (NPI 1942503529) is an individual social worker in Orlando, Florida, licensed in Florida (SW 10109) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1942503529
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSUSAN SMITH BOULDINCredential: LCSW
Location Address1417 N SEMORAN BLVD STE 203Orlando, FL 32807
Mailing Address1417 N Semoran Blvd Ste 203Orlando, FL 32807-3555 · (407) 206-1106 · Fax (407) 206-1112
Fax(407) 206-1112
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateDecember 21, 2010
Last NPPES UpdateSeptember 5, 2018
NPI 1942503529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in FL · SW 10109
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1417 N SEMORAN BLVD STE 203, Orlando, FL 32807

Other Names 1

Former Name (1)Susan Ann Smith

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Susan Smith Bouldin Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597981399
PECOS Enrollment IDI20140731001831
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
170 services16 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1417 N SEMORAN BLVD STE 203
ORLANDO, FL 32807
Social Worker
1417 N SEMORAN BLVD STE 203
ORLANDO, FL 32807
Psychologist (Clinical)
1417 N SEMORAN BLVD STE 203
ORLANDO, FL 32807

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Bouldin's NPI number?

The NPI number for Susan Bouldin is 1942503529. It was assigned to this individual provider in the NPPES registry on December 21, 2010. The provider is also known as Susan Ann Smith.

Where is Susan Bouldin located?

Susan Bouldin practices at 1417 N Semoran Blvd Ste 203, Orlando, FL 32807. The listed phone number is (407) 206-1106.

What is Susan Bouldin's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Susan Bouldin enrolled in Medicare?

Yes. Susan Bouldin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susan Bouldin accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Susan Bouldin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Bouldin was last updated on September 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.